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What is today's date?
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Have you spoken with someone at Wayne RESA regarding your request?*
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School District
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School Name
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This school has the following MDE Accountability Identification:*
Comprehensive Support and Improvement (CSI)
Additional Targeted Support (ATS)
Targeted Support and Improvement (TSI)
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Phone Number
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Ext
School Contact Name
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Contact's Email Address
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Suggested Date of PD Event
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Suggested Time of Your PD Event
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Number of Participants
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Location of PD
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Include building name and address
Target Audience
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E.g. biology teachers
Topic Requested
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Content Description
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Please include any materials, books or resources requested
Professional Development (PD) Planning Considerations
How does this PD align with your District and/or School Improvement Plan(s)?
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Describe the intended impact this Professional Learning will have on instructional practices and student achievement.
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What evidence will your school review in order to ensure classroom implementation and positive student outcome?
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If you want this request to go to a specific person, please indicate their name below.
Otherwise, this request will be sent to the Educational Services Department and someone will contact you shortly.
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